DEACONESS CLINIC INC
NPI 1013558980
Psychiatry & Neurology - Neurology in Newburgh, IN

Q: What is Deaconess Clinic Inc's NPI number?

The NPI number for Deaconess Clinic Inc is 1013558980. It was assigned to this organization in the NPPES registry on October 2, 2019.

Q: What is Deaconess Clinic Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since October 02, 2019CLIA Certified · 5 labs

4011 GATEWAY BLVD, NEWBURGH, IN 47630(812) 490-4570(812) 490-4570 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, Oct 2, 2019 (2 updates tracked since 2019).

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About Deaconess Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS CLINIC INC (NPI 1013558980) is a healthcare organization registered as a neurology in Newburgh, Indiana and active in the NPI registry since October 2019. The organization holds 5 active CLIA laboratory certificates and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013558980

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameDEACONESS CLINIC INC

Location Address4011 GATEWAY BLVDNewburgh, IN 47630-8947

Mailing AddressPo Box 1510Newburgh, IN 47629-1510 · (812) 450-6815 · Fax (812) 450-6822

Phone(812) 490-4570

Fax(812) 490-4570

Organization SubpartNo

Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296

Enumeration DateOctober 2, 2019

Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration

NPPES CertifiedOctober 4, 2022

✔ NPI 1013558980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

4011 GATEWAY BLVD, Newburgh, IN 47630

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0687443

Deaconess Clinic Inc Professional Blvd Mob 3 · Newburgh, IN

Active · expires May 17, 2028

CLIA Number15D0687443

Laboratory TypePhysician Office

Certificate Effective DateMay 18, 2026

Certificate Expiration DateMay 17, 2028

Laboratory DirectorRuston Stoltz

Laboratory Phone(812) 858-6244

Laboratory LocationDeaconess Clinic Inc Professional Blvd Mob 34015 Gateway Blvd, Newburgh, IN 47630

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 15D2074413

Deaconess Clinic Obstetrics And Gynecology Newburgh · Newburgh, IN

Active · expires Mar 31, 2028

CLIA Number15D2074413

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorPaul Morrison

Laboratory Phone(812) 490-5200

Laboratory LocationDeaconess Clinic Obstetrics And Gynecology Newburgh4727 Rosebud Lane Ste D, Newburgh, IN 47630

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D0924623

Deaconess Clinic Wyntree · Newburgh, IN

Active · expires Mar 17, 2028

CLIA Number15D0924623

Laboratory TypePhysician Office

Certificate Effective DateMarch 18, 2026

Certificate Expiration DateMarch 17, 2028

Laboratory DirectorMelinda B. Jackson

Laboratory Phone(812) 426-9837

Laboratory LocationDeaconess Clinic Wyntree4144 Wyntree Dr, Newburgh, IN 47630

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2064361

Deaconess Clinic Gateway Health Ctr · Newburgh, IN

Active · expires Jan 29, 2028

CLIA Number15D2064361

Laboratory TypePhysician Office

Certificate Effective DateJanuary 30, 2026

Certificate Expiration DateJanuary 29, 2028

Laboratory DirectorChristopher Wood

Laboratory Phone(812) 492-5122

Laboratory LocationDeaconess Clinic Gateway Health Ctr4233 Gateway Blvd, Newburgh, IN 47630

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2233195

Deaconess Clinic Endocrinology High Pointe · Newburgh, IN

Active · expires Aug 19, 2027

CLIA Number15D2233195

Laboratory TypePhysician Office

Certificate Effective DateAugust 20, 2025

Certificate Expiration DateAugust 19, 2027

Laboratory DirectorZhuang Santacana

Laboratory Phone(812) 426-6678

Laboratory LocationDeaconess Clinic Endocrinology High Pointe8080 High Pointe Dr, Newburgh, IN 47630

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE RENEE ESTEP M.D.

Pediatrics (Pediatric Critical Care Medicine)